Prevalence rates of borderline personality disorder symptoms: a study based on the Netherlands Mental Health Survey and Incidence Study-2.
Prevalence rates of borderline personality disorder symptoms: a study based on the Netherlands Mental Health Survey and Incidence Study-2.
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DOI：
10.1186/s12888-016-0939-x
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发表时间：
2016-07-19
期刊：
影响因子：
4.4
通讯作者：
de Graaf R
中科院分区：
文献类型：
--
作者：
Ten Have M;Verheul R;Kaasenbrood A;van Dorsselaer S;Tuithof M;Kleinjan M;de Graaf R
尽管人们对边缘型人格障碍 (BPD) 在普通人群中的患病率有了越来越多的了解，并且对精神障碍作为一种分类和维度结构的认识不断提高，但对于普通人群中 BPD 症状的患病率及其相关后果（例如合并症、残疾和心理健康服务的使用）仍然缺乏研究。数据来自第二波荷兰心理健康调查和发病率研究 2 (N = 5303)，这是一项全国代表性的针对普通人群的面对面调查。 BPD 症状是通过国际人格障碍检查中的问题来测量的。使用综合国际诊断访谈 3.0 版评估常见精神障碍的合并症。在所研究的总人口中，69.9% 的人没有 BPD 症状，25.2% 的人有 1-2 种症状，3.8% 的人有 3-4 种症状，1.1% 的人有 ≥5 种 BPD 症状。研究发现，所报告的 BPD 症状数量与不与伴侣同居、没有带薪工作和/或患有共病情绪、焦虑或药物滥用障碍呈正相关。即使在调整了社会人口特征和合并症之后，BPD 症状的数量仍然与残疾有着独特的相关性。它还显示出与使用处理心理健康问题的服务呈正相关，尽管这种关系受到共病障碍的强烈影响。因为即使相对较少数量的 BPD 症状似乎也与精神合并症和功能障碍相关，因此在临床实践和研究中不仅需要识别全面的 BPD 症状，还需要识别阈下水平的 BPD 症状。
Despite increasing knowledge of the prevalence of borderline personality disorder (BPD) in the general population, and rising awareness of mental disorders both as a categorical and a dimensional construct, research is still lacking on the prevalence of the number of BPD symptoms and their associated consequences, such as comorbidity, disability, and the use of mental health services) in the general population. Data were obtained from the second wave of the Netherlands Mental Health Survey and Incidence Study-2 (N = 5303), a nationally representative face-to-face survey of the general population. BPD symptoms were measured by means of questions from the International Personality Disorder Examination. Comorbidity of common mental disorders was assessed with the Composite International Diagnostic Interview version 3.0. Of the total population studied, 69.9 % reported no BPD symptoms, while 25.2 % had 1–2 symptoms, 3.8 % had 3–4 symptoms, and 1.1 % had ≥ 5 BPD symptoms. The number of BPD symptoms reported was found to be positively associated with not living with a partner, having no paid job, and/or having a comorbid mood, anxiety or substance use disorder. Even after adjustment for sociodemographic characteristics and comorbidity, the number of BPD symptoms turned out to be uniquely associated with disability. It also showed a positive relationship with using services for dealing with mental health problems, although this relationship was strongly affected by the presence of comorbid disorders. Because even a relatively low number of BPD symptoms appears to be associated with psychiatric comorbidity and functional disability, not only full-blown BPD but also subthreshold levels of BPD symptoms need to be identified in clinical practice and research.